Shelley Ann Bengard, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

8247 Issued in AZ

Practice address

80 Acoma Blvd S Ste 104-106
Lake Havasu City, AZ 86403-6925

Phone

(928) 453-1055

Fax

(928) 453-1057

NPI assigned

Nov 19, 2008

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Shelley Ann Burmaz Former name

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Chiropractic

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dr.bengard@ewcc0001.direct.chirotouch.md

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Embody Wellness Chiropractic Center PLLC

  • Chiropractor
  • Lake Havasu City, AZ
  • NPI 1710619598

  AZ, Chiropractor

  Medicare reassignment NPD Authorized official
• Embody Chiropractic Center PLLC

  • Chiropractor
  • Lake Havasu City, AZ
  • NPI 1619773264
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741046400000",
    "number": "1891940706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090 SMOKETREE AVE N",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864035806",
            "telephone_number": "928-208-5948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 ACOMA BLVD S STE 104-106",
            "city": "LAKE HAVASU CITY",
            "state": "AZ",
            "postal_code": "864036925",
            "telephone_number": "928-453-1055",
            "fax_number": "928-453-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENGARD",
        "first_name": "SHELLEY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-19",
        "last_updated": "2025-03-04",
        "certification_date": "2025-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "AZ",
            "license": "8247",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHELLEY",
            "last_name": "BURMAZ",
            "middle_name": "ANN",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nicholas Beard, LPC
• Stacy Beck, P.T.
• Amy Diane Beckstrom, PTA
• Morgan Taylor Beckwith, PA
• Anju Beesetty, M.D.
• Stacey Diane Benjamin
• Tom D Bennetch, PT
• Danielle Bennett, LMT
• Gail Marie Benson, RN
• Heidi A Berdin, MD

• All providers in Lake Havasu City, AZ
• Chiropractor in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.